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Understanding of and attitudes to genetic testing for inherited retinal disease: A patient perspective

机译:对遗传性视网膜疾病的基因检测的理解和态度:患者的观点

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Background/aims: The views of people with inherited retinal disease are important to help develop health policy and plan services. This study aimed to record levels of understanding of and attitudes to genetic testing for inherited retinal disease, and views on the availability of testing. Methods: Telephone questionnaires comprising quantitative and qualitative items were completed with adults with inherited retinal disease. Participants were recruited via postal invitation (response rate 48%), approach at clinic or newsletters of relevant charitable organisations. Results: Questionnaires were completed with 200 participants. Responses indicated that participants' perceived understanding of genetic testing for inherited retinal disease was variable. The majority (90%) considered testing to be good/very good and would be likely to undergo genetic testing (90%) if offered. Most supported the provision of diagnostic (97%) and predictive (92%) testing, but support was less strong for testing as part of reproductive planning. Most (87%) agreed with the statement that testing should be offered only after the individual has received genetic counselling from a professional. Subgroup analyses revealed differences associated with participant age, gender, education level and ethnicity (p<0.02). Participants reported a range of perceived benefits (eg, family planning, access to treatment) and risks (eg, impact upon family relationships, emotional consequences). Conclusions: Adults with inherited retinal disease strongly support the provision of publicly funded genetic testing. Support was stronger for diagnostic and predictive testing than for testing as part of reproductive planning.
机译:背景/目的:遗传性视网膜疾病患者的观点对于帮助制定健康政策和计划服务很重要。这项研究旨在记录对遗传性视网膜疾病的基因检测的理解水平和态度,以及对检测有效性的看法。方法:对患有遗传性视网膜疾病的成年人填写包含定量和定性项目的电话问卷。参加者是通过邮寄邀请(回复率为48%),诊所或有关慈善组织的新闻通讯的方式招募的。结果:问卷调查完成了200名参与者。回答表明,参与者对遗传性视网膜疾病的基因检测的理解是可变的。大多数(90%)认为测试是好/非常好,如果提供的话,很可能会接受基因测试(90%)。大多数人支持提供诊断性测试(97%)和预测性测试(92%),但作为生殖计划的一部分,对测试的支持力度较小。大多数(87%)同意以下说法,即只有在个人从专业人员那里获得遗传咨询后,才应提供测试。亚组分析显示与参与者年龄,性别,教育程度和种族相关的差异(p <0.02)。参与者报告了一系列可感知的收益(例如,计划生育,获得治疗)和风险(例如,对家庭关系的影响,情感后果)。结论:患有遗传性视网膜疾病的成年人强烈支持提供公共资助的基因检测。对于诊断和预测性测试的支持要强于对生殖计划的测试。

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